一项纵向研究表明,临床接触牙科就诊加剧了牙科居民的普遍年龄歧视。

IF 1.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2025-08-28 DOI:10.1111/ger.70017
Maya Izumi, Jumpei Kubota, Shinji Yoshii, Sumio Akifusa
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引用次数: 0

摘要

目的:虽然临床培训被认为是培养积极态度的关键策略,但接触老年患者(特别是家访牙科)对牙科住院医师态度的影响尚不清楚。本研究探讨牙科家访临床训练对牙科住院医师年龄歧视的影响。方法:采用纵向单臂前后设计。这项研究于2024年4月至2025年3月在九州牙科大学进行。基线时共有63名牙科住院医师参与。其中36例(57.1%)完成所有评估并纳入最终分析。参与者完成了两种有效的日本工具:用于一般年龄歧视的Fraboni年龄歧视量表(FSA)和用于牙科学生年龄歧视的ASDS (ASDS)。在基线、6个月和12个月时进行评估。根据家访次数对参与者进行分类:6个月时≤3次或≥4次,12个月时≤6次或≥7次。结果:ASDS评分在12个月期间基本保持稳定(从基线到12个月的平均差异:+2.0;效应量[ES] = -0.29)。相比之下,6个月时的FSA评分(37.0 [23-73],ES = -1.08)和12个月时的FSA评分(49.0 [25-87],ES = -2.76)高于基线中位数33.5[14-42],表明一般年龄歧视的恶化非常大。在家访牙医的居民中,FSA得分甚至更高。结论:在临床培训期间,普遍的年龄歧视有所增加,特别是在家访牙科的住院医师中。相比之下,特定职业的年龄歧视基本没有变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Exposure to Visiting Dental Practice Heightens General Ageism in Dental Residents: A Longitudinal Study.

Objective: While clinical training is considered a key strategy for fostering positive attitudes, the impact of exposure to older patients-particularly in home-visit dentistry-on dental residents' attitudes remains unclear. This study examines the effect of clinical training in home-visit dentistry on ageism in dental residents.

Methods: A longitudinal single-arm pre-post design was employed. The study was conducted at Kyushu Dental University from April 2024 to March 2025. A total of 63 dental residents participated at baseline. Of these, 36 (57.1%) completed all assessments and were included in the final analysis. Participants completed two validated Japanese instruments: the Fraboni Scale of Ageism (FSA) for general ageism and the Ageism Scale for Dental Students (ASDS) for profession-specific ageism. Assessments were conducted at baseline, 6 months, and 12 months. Participants were categorised by number of home-visit sessions: ≤ 3 or ≥ 4 visits at 6 months, and ≤ 6 or ≥ 7 at 12 months.

Results: ASDS scores remained largely stable over a 12-month period (mean difference from baseline to 12 months: +2.0; effect size [ES] = -0.29). In contrast, FSA scores at 6 months (37.0 [23-73], ES = -1.08), and at 12 months (49.0 [25-87], ES = -2.76) were higher than the baseline median of 33.5 [14-42], indicating a very large deterioration in general ageism. FSA scores were even higher among residents with greater exposure to home-visit dentistry.

Conclusion: General ageism increased during the clinical training period, particularly among residents with greater exposure to home-visit dentistry. In contrast, profession-specific ageism remained largely unchanged.

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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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